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Insurance Claims and Accident Reports

The document appears to be a list of 30 insurance claims with details including the insured name, claim number, date and place of loss, amount of claim, vehicle type, and for some the third party the amount was sent to. It provides key information about multiple auto insurance claims such as claimant names, claim numbers, dates and locations of accidents, vehicle types involved, and amounts paid out for claims.

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Shane Copioso
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0% found this document useful (0 votes)
89 views12 pages

Insurance Claims and Accident Reports

The document appears to be a list of 30 insurance claims with details including the insured name, claim number, date and place of loss, amount of claim, vehicle type, and for some the third party the amount was sent to. It provides key information about multiple auto insurance claims such as claimant names, claim numbers, dates and locations of accidents, vehicle types involved, and amounts paid out for claims.

Uploaded by

Shane Copioso
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

DATE OF PLACE OF

N INSURED CLAIM NUMBER


LOSS ACCIDENT

Along KM 24+100
Northbound of South
Desmond Bernardino
1 5220201190000341 7-Jan-19 Luzon Expressway,
Diaz
Brgy Pututan,
Muntinlupa City

Along Nat'l Highway,


Diomorry Bautista Brgy. Bucal,
2 5070201190001562 22-Jun-19
Eleria Calamba City,
Laguna

Along National
Mary Princess B.
3 5080201190000515 26-Feb-19 Highway, Brgy.
Guevarra
Bucal, Calamba City

Mamplasan Road,
4 Lilian E. Fernando 5070201180002744 23-Oct-18 Brgy Mamplasan,
Biñan City, Laguna

Along Colt St corner


Cavalry Drive, Brgy.
5 Globe Telecom, Inc. MC-FPC-HB-17-0002128 15-Oct-17
East Rembo, Makati
City

Along West Bound


Lane of Sen Gil
6 SC88 Technology Inc MC-PC-HL-18-87 27-Dec-17 Puyat Ave infront of
IMARFLEX, Pasay
City

Along Aguinaldo
Highway, Vicinity of
7 Ronalyn Que Abad 5150201190000674 3-Mar-19
Brgy Bayan Luma,
Imus City, Cavite

Along Northbound
lane of C5 Road
Honda Cars Makati
513020119000 29-Apr-19 corner Kalayaan
Inc
Avenue Brgy East
Rembo, Makati City
8
Along Daang Hari
Ermelita B. Road, Pasong
5360201190000042 27-Jan-19
Velasquez Buaaya 2, Imus City,
9 Cavite
Parking Area of SM
Ervin Padon Del Molino Brgy. Molino
5080201190001431 22-Jul-19
Mundo IV, Bacoor City
10 Cavite
Along Radial rd.10 in
Joseph Christian
5290201190001491 22-Jun-19 front of Pier 18
Deang Beltran
11 Tondo, Manila
Orix Rental Corp for
the Account of Globe Brgy Balong Bato,
5130201190000519 31-Jan-19
Telecom Inc San Juan City
12 ID:D13OR00024
Along Emilio
Aguinaldo Ext,. near
Carlo Christian C.
5360201190000036 18-Dec-18 Union Bank, Brgy.
Ong
Talaba 4, Bacoor
13 City, Cavite

Along Daang Hari


Emerlita B. Road, Pasong
5360201190000042 27-Jan-19
Velasquez Buaaya 2, Imus City,
14 Cavite
National Highway
Muzl Genonangaan 5080201190000902 21-Apr-19 Brgy 11F, San Patio
15 Jardeleza City, Laguna
Parking Area of SM
Ervin Padon Del Molino Brgy. Molino
5080201190001431 22-Jul-19
Mundo IV, Bacoor City
16 Cavite
Along West Service
TFSPH leased to
Road near Sales
John Marty Leynes 5020201190000989 9-Apr-19
Interchange, Pasay
Rivera
17 City

Along National
Maria Gianina Janeo Highway particularly
5220201190001149 10-May-19
Bionat at Brgy Del Pilar,
Tagudi, Ilocos Sur
18
Along Marcos
Alvarez Ave, Brgy
19 Andres T. Pastrana 5090201190000072 26-Dec-18
Talon Singko, Las
Piñas City

At the Intersection of
Timog Ave. And
Scout Tuazon St.,
20 Evelyn C. Arnante 5200201180000443 27-Aug-18
Brgy. South
Triangle, Quezon
City

Along East
Dominador Lozano Cloverleaf cor P.
21 Balangue Jr/NESTLE 5130201190001319 29-Aug-19 Victor St.,
PHILIPPINES INC. Guadalupe Nuevo,
Makati City
Along
Commonwealth Ave,
Near U Turn Slot In
22 Jojo S. Valreio MC-PC-QC-17-459 16-Feb-17
Front of Omni, Tire
Center, Brgy Old
Balara, Quezon City

SLEX(S/B0KM
23 Right Goods Phils MC-FCTV-HL-15-67 28-Nov-15
45=800

Cebuana Lhuillier Along Eton City


Insurance Intersection, Brgy
24 5190201180000513 18-May-18
Solution/Joselito Malitlit, Sta Rosa
Papa Jimenez City, Laguna

25
26
27
28
29
30
EQUIFAX
TYPE OF
AMOUNT
SENT TO THIRD PARTY
OF CLAIM
VEHICLE

128,800.00 Sedan, Suzuki Ciaz

128,516.00 Mitsubishi Adventure

135,060.80 Euro Motorcycle Mitsukoshi

136,938.08 Ford Ranger, Pick up

177,556.71 Sedan, BMW 118 D/2013

180,459.00 Honda Jazz

103,495.00 Mitsubishi Adventure Wagon

101,306.73 Toyota Vios

138,861.44 Honda Tricycle

Toyota Fortuner 4x2 2A/T Sport Utility


117,066.47
Vehicle
118,496.25 Tractor head, Hongyan

121,220.00

125,209.59 Isuzu Rebuilt, M Bus, model 2002

138,861.44 Honda Tricycle

110,575.00

Toyota Fortuner 4x2 2A/T Sport Utility


117,066.47
Vehicle

136,200.00 Yamaha Mio Motorcycle

125,500.00 Isuzu Aluminum Van

Passenger Jeepney Fuso Jitney 19099


135,578.35
Green

197,419.96 Ford Everest

128,185.00 Sedan, Toyota Vios 1,3E/2016


135,297.60 Hyundai Accent 1 5CRDI Sedan 2010

144,550.00 Daewoo Bus

146,787.00 Daewoo Truck Bus


IFAX
TP OWNERSHIP
AMOUNT EQUIFAX
(INDIVIDUAL/
OF CLAIM ADMIN FEE
CORPORATE)
ESTIMATED
STATUS REMARKS
FILING FEES

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY
FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

FOR RECOVERY
FOR RECOVERY

FOR RECOVERY

FOR RECOVERY

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